Organization
JERSEY RIDGE PLACE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MCCOY (DIRECTOR)
(563) 355-2027
Entity
Organization
Contact information
Practice address
5605 JERSEY RIDGE RD, DAVENPORT, IA 52807-3132
(563) 355-2027
(563) 441-9227
Mailing address
5605 JERSEY RIDGE RD, DAVENPORT, IA 52807-3132
(563) 355-2027
(563) 441-9227
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0079
IA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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